Prior Auth Required

22207 - L33569 Percutaneous Vertebral

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceL33569 Percutaneous Vertebral
Procedure / Service Description

Intradiscal Procedures (TIPs) NCD - Minimally-invasive Surgical (MIS) 30400, 30410, 30420, 30430, 30435, 30450, 30460, 30462, 30468 Fusion of the Sacroiliac (SI) Joint LCD L33569 Percutaneous Vertebral 20999, 22100-22103, 22116, 22206-22208, 22210, 22212, 22214, 22216, 22222, Augmentation (PVA) for Osteoporotic 22226, 22510-22515, 22526, 22527, 22532-22534, 22548, 22551, 22552, 22554 Vertebral Compression Fracture (VCF)

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.